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I-FEED分类在评估手术后胃肠道功能障碍患者的有效性,这些患者接受了选择性腰椎手术和全身麻醉:一项前性观察性研究

Chun-Yu Wu^1,2,3, Chih-Jun Lai², Fu-Ren Xiao^3,4

¹Department of Anesthesiology, National Taiwan University Hospital Hsinchu Branch, Hsinchu City, Taiwan.

Perioperative medicine (London, England)

|June 3, 2024

概括

I-FEED评分有效地评估腰椎手术患者的术后胃肠道功能障碍. 较高的分数与更长的住院时间和增加的并发症相关,验证了它的使用.

科学领域:

麻醉学和外科手术期间的医学.
胃肠病学胃肠病学
神经外科神经外科

背景情况:

I-FEED分类系统准确地描述了结直肠手术后的胃肠道功能障碍.
它对腰椎手术患者的适用性需要研究.

研究的目的:

评估I-FEED评分系统的有效性,以评估在接受选择性腰椎手术的患者中手术后的胃肠道功能障碍.

主要方法:

接受选择性腰椎脊椎手术的成年患者被纳入.
在手术后4天内,每天测量I-FEED分数.
构造有效性是根据住院时间,医疗费用和并发症测试的.

主要成果:

25.0%的患者有正常的肠道功能,49.4%有不耐受性 (POGI),25.6%有功能障碍 (POGD).
较高的I-FEED分数与显著更长的住院时间和成本增加相关.
患有POGD的患者经历了更多的非胃肠道并发症,需要更多的直肠药.

结论:

I-FEED评分证明了在腰椎手术后测量术后胃肠道功能障碍的初步有效性.
这种评分系统可以帮助识别患有长期康复和并发症风险的患者.

关键词:

胃肠道功能障碍胃肠道功能障碍我-FEED 的意思是吃.伊利乌斯 (Ileus) 是一个小岛.腰椎脊柱的腰椎脊柱是指腰椎脊柱的部分.手术后的胃肠道功能障碍手术后的胃肠道功能障碍

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